DGMed ECT Portal
TR EN
Clinical Evidence 267 publications

Pancreatic Cancer

Deep Organ Tumours

In locally advanced pancreatic cancer, encasement of the coeliac and mesenteric vessels blocks surgery and thermal ablation. Most publications in the corpus concern irreversible electroporation; the evidence base rests largely on single-arm series and no randomized comparison exists.

267total publications
128clinical studies
59preclinical studies
54reviews
2010–2026publication span

Evidence Status by Regime

Reversible electroporation (RE-ECT)

40publications
17clinical
10preclinical

Clinical Evidence

2012–2025 · In Routine Clinical Use

Irreversible electroporation (IRE-ECT)

227publications
111clinical
49preclinical

Clinical Evidence

2010–2026 · In Routine Clinical Use

Mechanisms Reported in This Area

Terms were detected by automatic matching over publication abstracts; the figure gives the number of publications containing the term.

Reversible Membrane Permeabilisation 237 Irreversible Pore Formation and Cell Death 234 Apoptosis Induction 31 Systemic / Abscopal Immune Response 17 Increased Intracellular Bleomycin Accumulation 16 Potentiation of Cytotoxic Drug Permeability 16 Necrosis and Necroptosis 13 Immune Checkpoint Inhibitor Combination 12 Thermal Effect and Joule Heating 12 Increased Intracellular Cisplatin Accumulation 11 Electric Field Distribution and Modelling 11 Muscle Contraction and Anaesthesia Requirement 10

Study Type Distribution

Bar length is scaled to the most common study type; the percentage gives the share of the whole area. Colour marks the evidence tier of the study type, the same scale as the evidence map.

Study typePublicationsShare within this area
Randomized Clinical Trial8
3%
Prospective Clinical Study20
7%
Clinical Study87
33%
Retrospective Clinical Study8
3%
Case Series5
2%
Case Report10
4%
Systematic Review / Meta-Analysis14
5%
Guideline / Consensus1
<1%
Review40
15%
Animal Study48
18%
In Vitro Study10
4%
In Silico / Modelling1
<1%
Preprint1
<1%
Conference Abstract2
<1%
Editorial / Letter8
3%
Correction / Erratum1
<1%
Protocol3
1%

Literature Evidence Table

267 publications listed in order of evidence strength. Click a title to open the citation, mechanism and full abstract drawer.

RegimePublicationYearStudy typeModelMechanismAbstract
Irreversible
Geboers · J Immunother Cancer
2025Randomized Clinical TrialHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) and stereotactic ablative body radiotherapy (SABR) are cytoreductive therapies for locally advanced pancreatic cancer (LAPC). Both may signify …
Irreversible
Timmer et al · Lancet Gastroenterol Hepatol
2024Randomized Clinical TrialHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathBackground: Pancreatic ductal adenocarcinoma is an aggressive disease with a dismal prognosis. Stage III locally advanced pancreatic cancer is considered unresectable and current palliative …
Reversible
Izzo et al · J Clin Med
2021Randomized Clinical TrialHumanBackground: Eighty percent of patients with pancreatic adenocarcinoma present a locally advanced or metastatic disease at diagnosis and are not eligible for surgery if not with palliative in…
Irreversible
He et al · Journal of Pancreatology
2021Randomized Clinical TrialHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: Irreversible electroporation (IRE) is emerging as a new therapy for locally advanced pancreatic cancer (LAPC). We aimed to conduct survival and safety analyses in LAPC patients af…
Irreversible
Kundalia et al · Eur J Surg Oncol
2021Randomized Clinical TrialHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Margin accentuation (MA) using Irreversible electroporation (IRE) offers an unique opportunity to reduce the R1 resections in resectable pancreatic cancer (RPC). This study aim…
Irreversible
Lin et al · Signal Transduct Target Ther
2020Randomized Clinical TrialHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationImmunotherapy has limited efficacy against locally advanced pancreatic cancer (LAPC) due to the presence of an immunosuppressive microenvironment (ISM). Irreversible electroporation (IRE) ca…
Irreversible
van Veldhuisen et al · J Vasc Interv Radiol
2020Randomized Clinical TrialHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To compare survival after CT-guided percutaneous irreversible electroporation (IRE) and folinic acid, fluorouracil, irinotecan, and oxaliplatin (FOLFIRINOX) chemotherapy versus FOLF…
Irreversible
Martin et al · Eur J Surg Oncol
2017Randomized Clinical TrialHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Improved preoperative immunonutrition has been shown to decrease the length of stay (LOS) and complications among patients undergoing elective gastrointestinal cancer surgeries. …
Irreversible
He et al · Hepatobiliary Pancreat Dis Int
2026Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Locally advanced pancreatic cancer (LAPC) is an aggressive gastrointestinal tumor with a dismal prognosis. Conventional resection is only suitable for nearly 30% of patients. Irr…
Irreversible
Kwon · Korean J Radiol
2026Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: This study aimed to evaluate the feasibility, safety, and oncologic outcomes of irreversible electroporation (IRE) using a clustered electrode in patients with locally advanced pa…
Reversible
Čebron et al · Bioelectrochemistry
2024Prospective Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Electrode Geometry and PlacementBackground: Despite extensive research in recent decades, pancreatic cancer continues to be among the most lethal forms of cancer, with no substantial increase in survival rates. Local recur…
Irreversible
Agnass et al · J Therm Biol
2023Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Electric Field Distribution and ModellingIntroduction: Irreversible electroporation (IRE) is an ablation modality that applies short, high-voltage electric pulses to unresectable cancers. Although considered a non-thermal technique…
Irreversible
Filson et al · J Surg Oncol
2023Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Intraoperative bile cultures (IOBCs) taken during pancreatic surgery are commonly performed and there has been limited evidence that a positive IOBC could aid in perioperative ad…
Irreversible
Martin et al · Surgery
2023Prospective Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathBackground: The purpose of this study was to evaluate the rates of local recurrence and margin positivity in patients with borderline resectable pancreatic cancer after pancreatectomy with o…
Reversible
Cutolo et al · European Journal of Surgical Oncology
2022Prospective Clinical StudyHumanIncreased Intracellular Bleomycin AccumulationAdenocarcinoma, which originates in the ducts that carry digestive enzymes, is the most common and aggressive type of pancreatic cancers. Surgical resection is a potentially curative option …
Reversible
Izzo et al · J Clin Med
2021Prospective Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Electric Field Distribution and ModellingObjective: To assess local disease control rates (LDCR) and overall survival (OS) in locally advanced pancreatic cancer (LAPC) treated with electrochemotherapy (ECT). Methods: Electrochemoth…
Irreversible
Flak et al · Pancreatology
2021Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Most pancreatic cancer (PC) patients are incurable and may need palliative treatment at some point in time. Irreversible electroporation (IRE) is a novel ablative treatment, whic…
Irreversible
Flak et al · Cancers (Basel)
2021Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation(1) Background: Irreversible electroporation (IRE) is a nonthermal ablation technique that is being studied in nonmetastatic pancreatic cancer (PC). Most published studies use imaging outcom…
Irreversible
Rudno-Rudzińska et al · Surg Oncol
2021Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIn this study, irreversible electroporation (IRE), electrochemotherapy (ECT), and calcium electroporation (CaEP) techniques were investigated as new strategies for human pancreatic cancer. Q…
Irreversible
Field et al · Am J Surg
2019Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: IRE is a non-thermal ablative modality that has been shown to be safe and efficacious in LAPC and liver tumors, but few studies have shown its effects on patients' (QOL). The goa…
Irreversible
Liu et al · Onco Targets Ther
2019Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: We aimed to determine the safety and efficacy of irreversible electroporation (IRE) combined with chemotherapy for unresectable pancreatic carcinoma (stage III/IV). Methods: We pr…
Irreversible
Leen et al · J Gastrointest Oncol
2018Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: The prognosis for unresectable locally advanced pancreatic adenocarcinoma (LAPC) remains poor. There is increasing interest in modern ablative techniques to improve outcomes. We …
Irreversible
Marsanic et al · Med Biol Eng Comput
2017Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIn recent years, many local ablation technologies based on thermal damage have been used in the treatment of locally advanced pancreatic carcinoma (LAPC) and borderline resectable pancreatic…
Irreversible
Martin · HPB (Oxford)
2016Prospective Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Deathally advanced pancreatic adenocarcinoma Robert C.G. Martin, II, MD, PhD, FACS Division of Surgical Oncology, University of Louisville, 315 East Broadway, Louisville, KY 40202, United States …
Irreversible
Akinwande et al · J Oncol
2015Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction. In patients with locally advanced pancreatic cancer (LAPC), IRE has been shown to be safe for local disease control and palliation. As IRE continues to gain acceptance it is im…
Irreversible
Martin et al · Anesth Pain Med
2015Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Muscle Contraction and Anaesthesia RequirementBackground: Irreversible electroporation (IRE) is a relatively new approach to the management of multiple types of locally advanced soft tissue tumors. Unique peri-procedural anesthetic mana…
Irreversible
Martin et al · Ann Surg
2015Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: Ablative therapies have been increasingly utilized in the treatment of locally advanced pancreatic cancer (LAPC). Irreversible electroporation (IRE) is an energy delivery system,…
Irreversible
Dunki-Jacobs et al · J Am Coll Surg
2014Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Intraoperative evaluation of successful pancreatic tumor ablation using irreversible electroporation (IRE) is difficult secondary to lack of visual confirmation. The IRE generato…
Reversible
Jesenko et al · Int J Mol Sci
2025Clinical StudyHumanReversible Membrane Permeabilisation, Increased Intracellular Bleomycin AccumulationPancreatic cancer is among the deadliest malignancies, with limited treatment options and poor prognosis. Novel strategies are therefore urgently needed. Sotorasib, a KRAS G12C-specific inhi…
Irreversible
Brys · J Clin Med
2025Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground : Pancreatic ductal adenocarcinoma (PDAC) presents a challenge due to its poor prognosis. Irreversible electroporation (IRE) shows promise in improving margin clearance and increa…
Irreversible
Gordon et al · Cancers (Basel)
2025Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To investigate if radiomics signatures generated from longitudinal CT scans could predict IRE treatment effectiveness and outcomes in patients with locally advanced pancreatic cance…
Irreversible
Hendrikx · Curr Oncol
2025Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Pancreatic ductal adenocarcinoma (PDAC) has a poor prognosis, with a 5-year survival rate of 10%. Irreversible electroporation (IRE), a non-thermal ablative technique, may improv…
Irreversible
Li et al · World J Gastrointest Surg
2025Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a novel non-thermal ablation technology for unresectable tumors. Hypertension and tachycardia usually occur during the IRE. To date, there h…
Irreversible
Patel · Ann Hepatobiliary Pancreat Surg
2025Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackgrounds/aims: Irreversible electroporation (IRE) may have a potential application as either a "back-up therapy" or for margin accentuation during trial dissection of locally advanced pan…
Irreversible
Jiang et al · Hepatobiliary Surg Nutr
2024Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Deathsible electroporation and intraoperative radiotherapy Lingmin Jiang1,2,3#, Xin Huang1,2,3#, Xin Hua4#, Qiaoqiao Li1,2,5, Yujing Zhang1,2,5, Jun Wang1,2,3, Shengping Li1,2,3 1 State Key Labor…
Irreversible
Lim et al · Ann Surg Oncol
2024Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Margin accentuation using irreversible electroporation (MA-IRE) improves recurrence and overall survival (OS) in pancreatic cancer patients; however, there have been limited outc…
Irreversible
Martin et al · Cancers (Basel)
2024Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground/objectives: Overall survival for patients with Stage 3 pancreatic ductal adenocarcinoma (PDAC) remains limited, with a median survival of 12 to 15 months. Irreversible electropora…
Irreversible
Tasu et al · Eur Radiol
2024Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: The aim of the IRECAP study was to evaluate the rate of locally advanced pancreas cancer patients (LAPC) who could undergo R0 or R1 surgery after irreversible electroporation (IR…
Irreversible
Zeng et al · J Cancer Res Ther
2024Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: This study evaluates the clinical efficacy and safety of irreversible electroporation (IRE) therapy combined with chemotherapy in patients with stage IV pancreatic cancer. Methods: …
Irreversible
Davis et al · Surg Innov
2023Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: A significant number of patients with advanced pancreatic cancer are unable to undergo resection due to vascular involvement. Irreversible electroporation (IRE) has shown promise…
Irreversible
Ong · J Interv Med
2023Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) employs the use of an electric field to cause irreversible permeability of the cell membrane, inducing apoptosis. The use of IRE for locally advanced pancr…
Reversible
Bosnjak et al · Radiol Oncol
2022Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Potentiation of Cytotoxic Drug PermeabilityBackground: One of the new treatment options for unresectable locally advanced pancreatic cancer is electrochemotherapy (ECT), a local ablative therapy that potentiates the entry of chemothe…
Reversible
Kovalev · Modern Medical Technology
2022Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin AccumulationPancreatic cancer (PC) is a malignant tumor with a poor prognosis and an extremely low 5-year survival rate. No more than 10% of patients have local cancer of the pancreas; in the rest, at t…
Irreversible
Ma et al · J Oncol
2022Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground Irreversible electroporation (IRE) is a new local ablation technique for pancreatic cancer. The aim of this study is to analyse the safety and effectiveness of simultaneous gemcit…
Irreversible
Peng et al · Adv Sci (Weinh)
2022Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic cancer is a deadly disease with little response to standard therapies. Irreversible electroporation (IRE) has emerged as a novel ablative technique for the clinical treatment of p…
Irreversible
Thomas et al · J Surg Oncol
2022Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) expands the surgical options for patients with unresectable pancreatic cancer. This study evaluated for differences in survival stratified by t…
Irreversible
Woeste et al · Front Oncol
2022Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) has emerged as a viable consolidative therapy after induction chemotherapy, in which this combination has improved overall survival of locally …
Reversible
Rudno-Rudzińska et al · Adv Clin Exp Med
2021Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathBackground According to the National Cancer Registry, 3486 people (1744 men and 1742 women) were diagnosed with pancreatic adenocarcinoma in Poland in 2018, resulting in 4908 deaths (2396 me…
Irreversible
He et al · J Inflamm Res
2021Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a novel treatment for locally advanced pancreatic cancer (LAPC), but the predictive factors, based on cytokines and immunocytes of survival,…
Irreversible
He et al · J Inflamm Res
2021Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is shown to not only improve the prognosis of patients with locally advanced pancreatic cancer (LAPC) but also activate the immune system. Cons…
Irreversible
He et al · Front Oncol
2021Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationLocally advanced pancreatic cancer (LAPC) is a lethal disease and neoadjuvant chemotherapy and conversional resection is shown to provide the best survival for LAPC patients. Irreversible el…
Irreversible
Heger et al · Pancreatology
2021Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground/objectives: Irreversible electroporation (IRE) is an emerging treatment for locally advanced pancreatic cancer (LAPC) which in some cohorts has been associated with severe complic…
Irreversible
Narayanan et al · BMC Cancer
2021Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a local ablation technique utilizing high voltage, low energy direct current to create nanopores in cell membrane which disrupt homeostasis …
Irreversible
Oikonomou et al · Am J Clin Oncol
2021Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: Locally advanced pancreatic cancer (LAPC) is found in about 40% of patients with pancreatic cancer. Irreversible electroporation (IRE) is a nonthermal ablative technique that pro…
Reversible
Alberici et al · Pancreatology
2020Clinical StudyHumaneatic cancer: indications, techniques and results. A single centre experience. L. Alberici 1, C. Ricci 1, C. Ingaldi 1, E. De Raffele 1, M. Di Marco 1, A. Guido 1, F. Minni 1, C. Serra 1, R.…
Reversible
Casadei et al · Updates Surg
2020Clinical StudyHumanBackground: Locally advanced pancreatic cancer (LAPC) is usually treated with chemoradiotherapy with poor results. The aim of the study was to assess whether intraoperative electrochemothera…
Irreversible
Bhutiani et al · Ann Surg Oncol
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Apoptosis InductionBackground: Previously published work has demonstrated that combining gemcitabine with irreversible electroporation (IRE) results in increased drug delivery to pancreatic adenocarcinoma cell…
Irreversible
Chai et al · Ultrasound Med Biol
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe aim of this study was to describe ultrasound (US) and contrast-enhanced ultrasound (CEUS) findings immediately and 1 d after percutaneous irreversible electroporation (IRE) of hepatic ma…
Irreversible
He et al · Front Oncol
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a novel method which was especially suitable for the treatment of locally advanced pancreatic cancer (LAPC). The purpose of this study was to evaluate p…
Irreversible
He et al · Front Oncol
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationLocally advanced pancreatic cancer (LAPC) has a dismal prognosis even after standard chemotherapy, and local progression contributes to nearly one-third of the deaths of these patients. As a…
Irreversible
He et al · Cancer Med
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Locally advanced pancreatic cancer (LAPC) remains a challenge for current treatments. Local destructive therapies, such as irreversible electroporation (IRE) and radiofrequency a…
Irreversible
He et al · Pancreatology
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Locally advanced pancreatic cancer (LAPC) is a devastating disease and irreversible electroporation (IRE) is a non-thermal ablation method that is especially suitable for the tre…
Irreversible
Lei et al · J Nanosci Nanotechnol
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationTo summarize the experience of 40 patients with pancreatic adenocarcinoma treated with irreversible electroporation ablation (IRE), their experiences with surgical nurses, and to explore the…
Irreversible
Ma et al · World J Clin Cases
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Locally advanced pancreatic cancer (LAPC) is a common malignant digestive system tumor that ranks as the fourth leading cause of cancer-related death in the world. The prognosis …
Irreversible
MÅNSSON et al · Anticancer Res
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground/aim: Irreversible electroporation (IRE) has recently been used as an experimental treatment for cancers including locally advanced pancreatic cancer. There is very limited data on…
Irreversible
O’Neill et al · Surgery
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Combining immune checkpoint blockade therapy with operative disruptive immunomodulation using irreversible electroporation may overcome the resistance to systemic therapy found i…
Irreversible
Ruarus et al · Radiology
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground Patients with locally advanced pancreatic cancer have a dismal prognosis, with a median overall survival (OS) of 12-14 months with systemic therapies. Irreversible electroporation…
Irreversible
Xu et al · J Cancer Res Ther
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationContext: The safety and efficacy of irreversible electroporation (IRE) for locally advanced pancreatic carcinoma (LAPC) are well established. However, whether adjuvant chemoradiotherapy afte…
Irreversible
Yang et al · Eur J Surg Oncol
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Irreversible electroporation (IRE) is a modality that utilizes high electric voltage to cause cell apoptosis. IRE has been used to treat locally advanced pancreatic cancer (LAP…
Reversible
Granata et al · Radiol Oncol
2019Clinical StudyHumanBackground The aim of the study was to evaluate diagnostic performance of functional parameters derived by conventional mono-exponential approach of diffusion weighted imaging (DWI) and by d…
Irreversible
Beitel-White · Sci Rep
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationImmunotherapies have demonstrated limited efficacy in pancreatic ductal adenocarcinoma (PDAC) patients despite their success in treating other tumor types. This limitation is largely due to …
Irreversible
Flak et al · Scand J Gastroenterol
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: Irreversible electroporation (IRE) is a novel non-thermal ablative technique applied in the treatment of unresectable locally advanced pancreatic cancer (LAPC). This paper report…
Irreversible
He et al · J Oncol
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose Irreversible electroporation (IRE) has been demonstrated to be a safe and effective method for locally advanced pancreatic cancer (LAPC). The aim of this study was to evaluate the im…
Irreversible
He et al · BMC Cancer
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Locally advanced pancreatic cancer (LAPC) represents more than one third of pancreatic cancers and owns poor survival after the standard chemotherapy. Irreversible electroporatio…
Irreversible
Holland et al · HPB (Oxford)
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: The optimal treatment and management of locally advanced pancreatic cancer (LAPC) remains unclear and controversial. This study aimed to report the initial outcomes of the AHPBA …
Irreversible
MÅNSSON et al · Anticancer Res
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground/aim: Carbohydrate antigen 19-9 (CA19-9) is a tumor marker for pancreatic cancer. Irreversible electroporation (IRE) is an experimental treatment modality for pancreatic cancer. Th…
Irreversible
Månsson et al · Anticancer Res
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground/aim: Irreversible electroporation (IRE) has recently been used as an experimental ablation treatment following systemic chemotherapy in locally advanced pancreatic cancer (LAPC). …
Irreversible
Pandit et al · Ann Surg Oncol
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) has been demonstrated as an effective local method for locally advanced (stage 3) pancreatic adenocarcinoma. Immune regulatory T cells (Tregs) …
Irreversible
Scheffer et al · Oncoimmunology
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose : Local tumor ablation through irreversible electroporation (IRE) may offer a novel therapeutic option for locally advanced pancreatic cancer (LAPC). It may also serve as a means of …
Reversible
Ali et al · Bioelectrochemistry
2018Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin AccumulationPancreatic cancer is one of the most lethal cancers with high metastatic potential and strong chemoresistance. The capability of a tumor to grow and propagate is dependent on a small subset …
Irreversible
Huang et al · J Surg Oncol
2018Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground and objectives: Irreversible electroporation (IRE) is a non-thermal focal therapy that utilizes high voltage electric pulses to permanently rupture the cellular membrane and induc…
Irreversible
Lin et al · Cell Physiol Biochem
2018Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground/aims: Pancreatic ductal adenocarcinoma (PDAC) is often diagnosed at an advanced stage, resulting in extremely poor 5-year survival. Late diagnosis of PDAC is mainly due to lack of…
Irreversible
Sugimoto et al · Intern Med
2018Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective To evaluate irreversible electroporation (IRE) for locally advanced pancreatic cancer (LAPC). Methods This study was approved by our local review board. Eight patients with histolo…
Irreversible
Tartaglia et al · Int J Surg Case Rep
2018Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Pancreatic cancer is one of the most lethal cancers worldwide, with 5-years survival rate as low as 6%. The majority of pancreatic cancer patients present locally advanced or m…
Reversible
Granata et al · World J Gastroenterol
2017Clinical StudyHumanAim: To report early imaging assessment of ablated area post electrochemotherapy (ECT) in patients with locally advanced pancreatic cancer (LAPC). Methods: ECT was performed in 19 LAPC patie…
Irreversible
Belfiore et al · Med Oncol
2017Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic adenocarcinoma is one of the most fatal cancers, characterized by aggressive tumor growth and a short patient survival time between diagnosis and death. Safe and effective treatme…
Irreversible
Deiters et al · Liver Pancreat Sci
2017Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Isolated local recurrence after surgical resection for pancreatic cancer is rare. Current common therapies for recurrence include chemotherapy or chemoradiation. There are few, i…
Irreversible
Latouche et al · J Surg Oncol
2017Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground and objectives: Irreversible Electroporation (IRE) is a focal ablation technique highly attractive to surgical oncologists due to its non-thermal nature that allows for eradicatio…
Irreversible
Lin et al · Oncotarget
2017Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To study the safety and clinical efficacy on combination of irreversible electroporation and allogeneic natural killer cell therapy for treating Stage III/IV pancreatic cancer, eval…
Irreversible
Lin et al · J Cancer Res Clin Oncol
2017Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: This study was attempted to investigate the safety and clinical efficacy of percutaneous irreversible electroporation combined with allogeneic natural killer cell therapy for treati…
Irreversible
Lin et al · Immunol Lett
2017Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThis study was to determine how the short-term clinical efficacy of irreversible electroporation (IRE) combined with allogeneic natural killer (NK) cell therapy for treating metastatic pancr…
Irreversible
Scheffer et al · Radiology
2017Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose To (a) investigate the safety of percutaneous irreversible electroporation (IRE) for locally advanced pancreatic cancer and (b) evaluate the quality of life (QOL), pain perception, a…
Irreversible
Bhutiani et al · CSurgeries
2016Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To explore the efficacy and safety of irreversible electroporation (IRE) ablation combined with natural killer (NK) cells in the treatment of locally advanced pancreatic cancer (LAP…
Irreversible
Lambert et al · Neoplasma
2016Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe aim of this study was to evaluate the safety of irreversible electroporation (IRE) and the outcome of patients undergoing IRE of locally advanced pancreatic cancer (PC). Twenty-one patie…
Irreversible
Li et al · Biomed Res Int
2016Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe aim of this article is to evaluate and compare the postprocedure pain in patients with pancreatic carcinoma treated with irreversible electroporation (IRE) and cryoablation (CRYO). We co…
Irreversible
Martin et al · J Surg Oncol
2016Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible Electroporation (IRE) is used to treat locally advanced cancers, commonly of the pancreas, liver, kidney, and other soft tissues. Precise eligibility for IRE should be establish…
Irreversible
Månsson et al · Eur J Surg Oncol
2016Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a non-thermal based tumor ablation method used close to vessels and ducts and has the potential of treating locally advanced pancreatic canc…
Irreversible
Papamichail et al · Korean J Hepatobiliary Pancreat Surg
2016Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackgrounds/aims: Resection or enucleation is currently the treatment of choice for small pancreatic neuroendocrine tumors (NETs). Irreversible electroporation is a novel ablative method tha…
Irreversible
Stillström et al · Surg Endosc
2016Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathBackground: Palliative irreversible electroporation of pancreatic adenocarcinomas is rapidly gaining in interest since a large proportion of these patients cannot be radically resected. Meth…
Irreversible
Vroomen et al · Eur Radiol
2016Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: To assess specific imaging characteristics after irreversible electroporation (IRE) for locally advanced pancreatic carcinoma (LAPC) with contrast-enhanced (ce)MRI and ceCT, and …
Irreversible
Wichtowski et al · Contemp Oncol (Pozn)
2016Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationAim of the study: Irreversible electroporation is a new, non-thermal ablation technique in the treatment of parenchymal organ tumors which uses short high voltage pulses of electricity in or…
Reversible
Granata et al · Int J Surg
2015Clinical StudyHumanIncreased Intracellular Bleomycin AccumulationObjective: Report the preliminary results on electrochemotherapy (ECT) in the treatment of locally advanced pancreatic cancer of a phase I/II study and described the new functional imaging t…
Irreversible
Belfiore et al · Int J Surg
2015Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Irreversible electroporation (IRE) is a non-thermal ablation technique recently used in pancreatic cancer. In our prospective study we evaluated safety, feasibility and efficac…
Irreversible
Gonzalez-Beicos et al · Tech Vasc Interv Radiol
2015Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a novel therapy that has shown to be a feasible and promising alternative to conventional ablative techniques when treating tumors near vital structures…
Irreversible
Kluger et al · Ann Surg Oncol
2015Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) for treatment of locally advanced pancreatic tumors is garnering increasing attention. This study was conducted to determine perioperative morb…
Irreversible
Martin · Hepatobiliary Surg Nutr
2015Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation is a non-thermal injury ablative modality that has been in clinical use since 2008 in the treatment of locally advanced soft tissue tumors. It has been reported …
Irreversible
Paiella et al · Dig Surg
2015Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the safety of the NanoKnife Low Energy Direct Current (LEDC) System (Irreversible Electroporation, IRE) in order to treat patients with unresectable pancreatic adenocarc…
Irreversible
Kwon et al · Surgery
2014Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Complete tumor extirpation (R0 resection) remains the best possibility for long-term survival in patients with pancreatic adenocarcinoma. Unfortunately, approximately 80% of pa…
Irreversible
Narayanan et al · Cardiovasc Intervent Radiol
2014Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: The purpose of the study was to evaluate the effect of Irreversible Electroporation (IRE) on vessel patency in close proximity to the ablation zone. Materials and methods: Between J…
Irreversible
Martin · J Gastrointest Surg
2013Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathIrreversible electroporation of locally advanced pancreatic adenocarcinoma has been used to palliate appropriate patients with locally advanced pancreatic adenocarcinoma. The setting was at …
Irreversible
Philips et al · PLoS One
2013Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a novel technology that uses peri-target discrete probes to deliver high-voltage localized electric current to induce cell death without the…
Irreversible
Bagla et al · Journal of Vascular and Interventional Radiology
2012Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationNo. 128 Percutaneous irreversible electroporation (IRE) of surgically unresectable pancreatic carcinoma: single center safety experience MONDAY: Scientific Sessions S. Bagla, D. Papadouris, …
Irreversible
Martin et al · J Am Coll Surg
2012Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Locally advanced pancreatic cancer patients have limited options for disease control. Local ablation technologies based on thermal damage have been used but are associated with m…
Irreversible
Martin et al · Ann Surg Oncol
2012Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Locally advanced unresectable pancreatic adenocarcinoma (LAC) is characterized by poor survival despite chemotherapy and conventional radiation therapy. We have recently reported…
Irreversible
Narayanan et al · J Vasc Interv Radiol
2012Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: Treatment of unresectable locally advanced pancreatic cancer (LAPC) usually includes chemotherapy and/or radiation therapy in an attempt to downstage these tumors to the extent of r…
Reversible
Qin · J Inflamm Res
2025Retrospective Clinical StudyHumanBackground: Pancreatic cancer (PCA) is a highly malignant tumor with a 5-year survival rate of <10%. It is characterized as a cold tumor with an immunosuppressive microenvironment. Liver dys…
Irreversible
Narayanan et al · Cardiovasc Intervent Radiol
2025Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the safety and local efficacy of irreversible electroporation (IRE) for soft tissue lesions near or involving gastrointestinal structures. Material and methods: This sin…
Irreversible
Xi et al · Front Immunol
2025Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) has shown promise in improving survival outcomes and activating the immune response in patients with locally advanced pancreatic cancer (LAPC).…
Irreversible
Ma et al · Front Immunol
2023Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a novel local tumor ablation approach with the potential to stimulate an antitumor immune response. However, it is not effective in preventi…
Irreversible
Fang et al · Clin Radiol
2021Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationAim: To report initial experience with irreversible electroporation (IRE) in a single tertiary oncology centre and to describe its role in the management of liver and pancreatic tumours. Mat…
Irreversible
Simmerman et al · J Surg Res
2020Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a relatively new ablation technique utilized as focal therapy to target areas of significant tumor burden to ablate tumors in situ or improv…
Irreversible
Narayanan et al · J Vasc Interv Radiol
2017Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To describe safety and effectiveness of percutaneous irreversible electroporation (IRE) for treatment of unresectable, locally advanced pancreatic adenocarcinoma (LAPC). Materials a…
Irreversible
Braucci et al · Pancreatology
2013Retrospective Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPancreaticoduodenectomy is treatment of choice for periampullary tumors. This procedure carry a significant risk and morbidities. Most of them are related to pancreatic anastomotic failure. F…
Reversible
Lauzana et al · European Journal of Surgical Oncology
2023Case SeriesHumanStudies that include long-term follow-up of endocrine function including serial volume of pancreas in patients with pancreaticoduodenectomy for peri-ampullary neoplasm are very rare due to t…
Irreversible
Shen · Cancers (Basel)
2022Case SeriesHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) has emerged as a promising treatment for patients with locally advanced pancreatic cancer (LAPC). Therefore, in this study, we evaluate the safety and effi…
Irreversible
Vogel et al · Ann Surg Oncol
2017Case SeriesHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Following induction chemotherapy, both resection or irreversible electroporation (IRE) may further improve survival in patients with locally advanced pancreatic cancer (LAPC). Ho…
Irreversible
Yan et al · Chin Med J (Engl)
2016Case SeriesHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Locally advanced pancreatic carcinoma (LAPC) is characterized by poor prognosis despite recommended concurrent chemoradiotherapy. Irreversible electroporation (IRE) has emerged a…
Reversible
Granata et al · Eur J Inflamm
2014Case SeriesHumanIncreased Intracellular Bleomycin AccumulationElectrochemotherapy is an effective treatment for various cutaneous tumors and could be translated into treatment of deep-seated tumors. With this aim, a prospective clinical phase I/II stud…
Irreversible
Ma et al · World J Clin Cases
2020Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Pancreatic cancer has a poor prognosis; 40%-50% of patients have liver metastases at the time of initial diagnosis and only 15%-20% undergo surgical resection. Irreversible elect…
Irreversible
Wang et al · Radiol Case Rep
2020Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationA 44-year-old gentleman with stage III (T4N1M0) unresectable pancreatic adenocarcinoma at the uncinate process underwent percutaneous image guided Irreversible Electroporation (IRE). At day-…
Irreversible
Papalampros et al · World J Surg Oncol
2019Case ReportHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathBackground: Primary pancreatic leiomyosarcoma is an extremely rare entity that needs high clinical suspicion in order to diagnose it at an early stage. Clinical characteristics, diagnosis, a…
Irreversible
Papoulas et al · J Surg Case Rep
2018Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationAchieving clear microscopic resection margins following pancreaticoduodenectomy (PD) is challenging particularly in borderline resectable pancreatic carcinoma (BRPC). Positive resection marg…
Irreversible
Tarantino et al · Ann Med Surg (Lond)
2018Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Solid pseudopapillary Carcinoma (SPC) is a rare pancreatic Tumor with variable, usually low, malignancy potential. Howewer, several SPC are associated with aggressive behavior,…
Irreversible
Orcutt et al · Int J Surg Case Rep
2017Case ReportHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathIntroduction: For patients with pancreatic adenocarcinoma who are not candidates for surgical resection, long-term survival is poor, even with currently available systemic and radiation ther…
Irreversible
Su et al · World J Gastroenterol
2017Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPortal vein thrombosis (PVT) is a rare but serious postoperative complication associated with irreversible electroporation (IRE). We report a case of postoperative PVT in a 54-year-old woman…
Irreversible
Trueba-Arguiñarena et al · Medicine (Baltimore)
2015Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a new nonthermal tumor ablation modality that induces apoptosis in the treated tissue without affecting collagen. Its use is particularly indicated for …
Irreversible
Scheffer et al · Cardiovasc Intervent Radiol
2014Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a novel image-guided ablation technique that is increasingly used to treat locally advanced pancreatic carcinoma (LAPC). We describe a 67-year-old male …
Irreversible
Bagla et al · J Vasc Interv Radiol
2012Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe present report describes a case of percutaneous irreversible electroporation (IRE) in a 78-year-old man with surgically unresectable stage III (tumor/node/metastasis stages, T4N0M0) panc…
Reversible
Marcellier et al · Clin Transl Gastroenterol
2025Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Potentiation of Cytotoxic Drug PermeabilityIntroduction: Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive malignancy with poor prognosis and limited treatment options. Electroporation-based therapies, such as electroche…
Reversible
Rompianesi et al · Cancers (Basel)
2025Systematic Review / Meta-AnalysisLiterature AnalysisBackground: Pancreatic ductal adenocarcinoma (PDAC) is one of the most difficult cancers to treat, with a dismal 5-year survival rate of only 8-10%. This challenging prognosis highlights the…
Irreversible
Shuiqing et al · Health Sciences Review
2022Systematic Review / Meta-AnalysisLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground/objectives To evaluate the safety and efficacy of irreversible electroporation (IRE) for treating local advanced pancreatic carcinoma. Methods Relevant literature published from J…
Irreversible
Sugumar et al · HPB (Oxford)
2022Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is used as a locoregional treatment modality for patients with locally advanced pancreatic cancer (LAPC), but is non-curative and is associated…
Irreversible
Ratnayake et al · Cancers (Basel)
2021Systematic Review / Meta-AnalysisLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe present systematic review aimed to summarise the available evidence on indications and oncological outcomes after MA IRE for stage III pancreatic cancer (PC). A literature search was per…
Reversible
Granata et al · Front Oncol
2020Systematic Review / Meta-AnalysisLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThis article provides an overview of imaging assessment of ablated pancreatic cancer. Only studies reporting radiological assessment on pancreatic ablated cancer were retained. We found 16 c…
Irreversible
Charalambous et al · Eur J Surg Oncol
2020Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible Electroporation (IRE) is a novel non-thermal ablation technique used in patients with locally advanced pancreatic cancer (LAPC), in the proximity of sensitive struct…
Irreversible
Lafranceschina · Cancers (Basel)
2019Systematic Review / Meta-AnalysisLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Ablative techniques provide in patients with locally advanced pancreatic cancer (LAPC) symptomatic relief, survival benefit and potential downsizing. Irreversible Electroporation…
Irreversible
Moris et al · Ann Surg Oncol
2019Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: The aim of the present systematic review was to collect, analyze, and critically evaluate the role of irreversible electroporation (IRE) in locally advanced pancreatic cancer (LAP…
Irreversible
Tian et al · Biomed Res Int
2018Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground Pancreatic cancer (PC) is a deadly disease with poor prognosis in the general population. We aimed to quantitate overall survival of patients with PC after irreversible electropor…
Irreversible
Ansari et al · Scand J Gastroenterol
2017Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: Irreversible electroporation (IRE) is a new modality for tumor ablation. Electrodes are placed around the tumor, and a pulsed, direct current with a field strength of 2000 V/cm i…
Irreversible
Vogel et al · PLoS One
2016Systematic Review / Meta-AnalysisAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Apoptosis InductionIntroduction: Irreversible electroporation (IRE) is a novel ablation technique in the treatment of unresectable cancer. The non-thermal mechanism is thought to cause mostly apoptosis compare…
Irreversible
Moir et al · Eur J Surg Oncol
2014Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a novel procedure to combat pancreatic cancer, whereby high voltage pulses are delivered, resulting in cell death. This represents an ideal …
Irreversible
Scheffer et al · J Vasc Interv Radiol
2014Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To provide an overview of current clinical results of irreversible electroporation (IRE), a novel, nonthermal tumor ablation technique that uses electric pulses to induce cell death…
Irreversible
He et al · Journal of Pancreatology
2024Guideline / ConsensusLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic cancer is one of the most lethal malignancies, with increasing morbidity and mortality. Only 20% of all cases are candidates for surgical resection. Most locally advanced pancreat…
Reversible
Vemulapalli · Cancers (Basel)
2025ReviewLiterature AnalysisReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPancreatic ductal adenocarcinoma (PDAC) remains one of the most challenging malignancies to treat, largely due to late diagnosis, limited surgical options, and profound resistance to systemi…
Irreversible
Stephens et al · Surgery
2024ReviewHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathBackground: Irreversible electroporation is a novel approach for treating locally advanced pancreatic adenocarcinoma. However, this ablative technique is not without risk and has the potenti…
Irreversible
Vos et al · Semin Intervent Radiol
2024ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationSince no uniform treatment protocol for pancreatic irreversible electroporation (IRE) exists, the heterogeneity throughout literature complicates the comparison of results. To reach agreemen…
Irreversible
Zhang · Ann Transl Med
2024ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground and objective: Pancreatic ductal adenocarcinoma (PDAC) is 3 rd most lethal cancer in the USA leading to a median survival of six months and less than 5% 5-year overall survival (O…
Irreversible
De Grandis et al · Int J Mol Sci
2023ReviewHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathDespite the advances made in treatment, the prognosis of pancreatic ductal adenocarcinoma (PDAC) remains dismal, even in the locoregional and locally advanced stages, with high relapse rates…
Irreversible
Gajewska-Naryniecka · Int J Mol Sci
2023ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic cancer has no symptoms until the disease has advanced and is aggressive cancer with early metastasis. Up to now, the only curative treatment is surgical resection, which is possib…
Irreversible
Oei et al · Cancers (Basel)
2023ReviewLiterature AnalysisReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathNumerous clinical studies have been conducted to improve the outcomes of patients suffering from pancreatic cancer. Different approaches using targeted therapeutic strategies and precision m…
Irreversible
Spiliopoulos · World J Gastroenterol
2023ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic cancer is currently the seventh leading cause of cancer death (4.5% of all cancer deaths) while 80%-90% of the patients suffer from unresectable disease at the time of diagnosis. …
Irreversible
Yun et al · Curr Oncol Rep
2023ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose of review: This review will describe the various applications, benefits, risks, and approaches of conventional irreversible electroporation (IRE), as well as highlight the new techno…
Irreversible
da Silva et al · Radiol Bras
2023ReviewLiterature AnalysisReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPancreatic ductal adenocarcinoma is one of the most aggressive malignant neoplasms, with a one-year survival rate below 20%. Axial methods (computed tomography and magnetic resonance imaging…
Reversible
Granata et al · Pol J Radiol
2022ReviewLiterature AnalysisENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Granata V, Palaia R, Izzo F. Comments on "The beneficial role of electrochemotherapy in locally advanced pan…
Reversible
Kozak et al · Pol J Radiol
2022ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) of locally advanced pancreatic cancer is an increasingly used method for unresectable pancreatic cancer that can be used in cytoreduction followed by surgi…
Irreversible
Gyftopoulos · Front Oncol
2022ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a local ablative technique used in conjunction with chemotherapy to treat locally advanced pancreatic cancer (LAPC). The combination of IRE and chemothe…
Irreversible
Imran · Front Oncol
2022ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationAdvancements in medical sciences and technologies have significantly improved the survival of many cancers; however, pancreatic cancer remains a deadly diagnosis. This malignancy is often di…
Irreversible
Lambin et al · World J Gastroenterol
2022ReviewHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPancreatic ductal adenocarcinoma (PDAC) is expected to become the second leading cause of death from cancer by 2030. Despite intensive research in the field of therapeutics, the 5-year overa…
Irreversible
Bibok et al · World J Gastroenterol
2021ReviewHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPancreatic cancer is a challenging malignancy with limited treatment options and poor life expectancy. The only curative option is surgical resection, but only 15%-20% of patients are resect…
Irreversible
Kwon et al · Semin Oncol
2021ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationLocally advanced pancreatic cancer (LAPC) constitutes approximately one-third of all pancreatic cancer, with standard of care inconsistently defined and achieving modest outcomes at best. Wh…
Irreversible
Rai et al · J Clin Med
2021ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationLocally advanced pancreatic cancer (LAPC) accounts for 30% of patients with pancreatic cancer. Irreversible electroporation (IRE) is a novel cancer treatment that may improve survival and qu…
Irreversible
Tian · Front Oncol
2021ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationEmerging studies have showed irreversible electroporation (IRE) focused on pancreatic cancer (PC). However, the effects of IRE treatment on the immune response of PC remain unknown. Moreover…
Irreversible
Timmer et al · Tech Vasc Interv Radiol
2020ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationSeveral minimally invasive image guided tumor ablation techniques have been added to the treatment spectrum for locally advanced pancreatic cancer (LAPC). Irreversible electroporation (IRE) …
Reversible
Campana et al · Eur J Surg Oncol
2019ReviewHumanReversible Membrane Permeabilisation, Electric Field Distribution and ModellingThe treatment of tumors with electrochemotherapy (ECT) has surged over the past decade. Thanks to the transient cell membrane permeabilization induced by the short electric pulses used by EC…
Irreversible
Aycock · Bioelectricity
2019ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) has established a clinical niche as an alternative to thermal ablation for the eradication of unresectable tumors, particularly those near critical vascula…
Irreversible
Chan et al · Semin Intervent Radiol
2019ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a relatively recent method of ablation. In contrast to many ablation devices that use thermal methods to induce cell death, IRE employs the use of an el…
Irreversible
Frey et al · Semin Intervent Radiol
2019ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationEfforts to improve mortality associated with locally advanced pancreatic cancer (LAPC) have shown minimal gains despite advances in surgical technique, systemic treatments, and radiation the…
Irreversible
Wu et al · Hepatobiliary Pancreat Dis Int
2019ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a novel ablative technique for hepatobiliary and pancreatic cancers. This review summarizes the data regarding the safety and efficacy of IR…
Irreversible
Paiella et al · Transl Gastroenterol Hepatol
2018ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic cancer (PC) is a solid tumor with still a dismal prognosis. Diagnosis is usually late, when the disease is metastatic or locally advanced (LAPC). Only 20% of PC are amenable to su…
Irreversible
Ruarus et al · Can Assoc Radiol J
2018ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationHepatopancreaticobiliary tumours are often diagnosed at an advanced disease stage, in which encasement or invasion of local biliary or vascular structures has already occurred. Irreversible …
Irreversible
de Liguori Carino et al · Eur J Surg Oncol
2018ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: The incidence of pancreatic ductal adenocarcinoma (PDAC) is rapidly increasing. Up to 30% of patients present with locally advanced disease and therefore are not candidates for s…
Reversible
Granata et al · Handbook of Electroporation
2017ReviewLiterature AnalysisPancreatic adenocarcinoma is currently one of the deadliest cancers with high mortality rate. This disease leads to an aggressive local invasion and early metastases and is poorly responsive…
Irreversible
Martin · J Surg Oncol
2017ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe essential diagnosis for LAPC is based on high-quality cross-sectional imaging, which demonstrates tumor invasion into the celiac/superior mesenteric arteries and/or superior mesenteric/p…
Irreversible
Rashid et al · Abdom Radiol (NY)
2017ReviewAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is increasingly used for the ablation of unresectable locally advanced pancreatic adenocarcinoma. Unlike other ablation technologies that cannot be safely …
Reversible
Bimonte et al · Radiol Oncol
2016ReviewLiterature AnalysisBackground: Pancreatic adenocarcinoma is currently one of the deadliest cancers with high mortality rate. This disease leads to an aggressive local invasion and early metastases, and is poor…
Irreversible
Paiella et al · Gastroenterol Res Pract
2016ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic ductal adenocarcinoma (PDAC) has still a dismal prognosis. Locally advanced pancreatic cancer (LAPC) accounts for the 40% of the new diagnoses. Current treatment options are based…
Irreversible
Paiella et al · Updates Surg
2016ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThanks to continuous research and investment in technology, the ablation of tumors has become common. Through the application of different types of energy is possible to induce cellular inju…
Irreversible
Tasu et al · Diagn Interv Imaging
2016ReviewHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPancreatic adenocarcinoma is one of the solid cancers associated with the poorest prognosis; the only curative treatment remains surgical resection but in most cases, this treatment is not p…
Reversible
Tafuto et al · Int J Surg
2015ReviewHumanElectrochemotherapy is a local non-thermal treatment for cancer ablation. Currently, many studies and case report have investigated the differences in effectiveness of electrochemotherapy wi…
Irreversible
Al Efishat et al · BMJ
2015ReviewHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathAbout a third of patients with pancreatic cancer present with locally advanced disease that is not amenable to resection. Because these patients have localized disease, conventional ablative…
Irreversible
Martin · J Vis Surg
2015ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: Irreversible electroporation (IRE) of stage 3 pancreatic adenocarcinoma has been used to provide quality of life time in patients who have undergone appropriate induction therapy.…
Irreversible
Young · World J Gastrointest Surg
2015ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic adenocarcinoma continues to have a poor prognosis with 1 and 5 years survival rates of 27% and 6% respectively. The gold standard of treatment is resection, however, only approxim…
Irreversible
Weiss et al · Adv Surg
2014ReviewHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathApproximately 43,000 new cases of pancreatic ductal adenocarcinoma (PDAC) are identified yearly in the United States. Surgical resection offers the only chance for cure, with 5-year survival…
Irreversible
Jacobs · Research (Wash D C)
2026Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a nonthermal ablation modality used clinically for treating unresectable tumors while preserving vital structures through controlled application of puls…
Irreversible
Jiang et al · Front Immunol
2026Animal StudyAnimal (In Vivo)Immune Checkpoint Inhibitor Combination, Irreversible Pore Formation and Cell DeathBackground: Irreversible electroporation (IRE) represents a potential therapeutic approach for pancreatic ductal adenocarcinoma (PDAC). However, differences in tumor size and shape can lead …
Irreversible
Ko et al · Sci Rep
2026Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Electric Field Distribution and ModellingIrreversible electroporation (IRE) can be considered as an alternative therapy for pancreatic tumors. However, a previous study revealed that the difference in electrical conductivity betwee…
Irreversible
Li et al · Nat Commun
2026Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is an ablative treatment for pancreatic cancer. It utilizes high-intensity pulsed electric field (PEF) to eliminate cancer cells by irreversibly disrupting…
Irreversible
Zhang et al · Adv Mater
2026Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic ductal adenocarcinoma (PDAC) is a highly lethal malignancy, primarily attributable to its immunosuppressive tumor microenvironment and limited responsiveness to conventional thera…
Irreversible
Cao et al · Magn Reson Med
2025Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Immune Checkpoint Inhibitor CombinationPurpose: To investigate contrast-enhanced T1-weighted MRI and diffusion-weighted magnetic resonance imaging (DWI) for early prediction of tumor response to combined irreversible electroporat…
Irreversible
Jacobs · BME Front
2025Animal StudyAnimal (In Vivo)Tissue Conductivity and Impedance Change, Reversible Membrane PermeabilisationObjective: This study characterizes the effects of external conductivity on electroporation to develop methods to overcome potential patient-to-patient variability. Impact Statement: We demo…
Irreversible
Jacobs et al · bioRxiv
2025Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a non-thermal ablation modality used clinically for treating unresectable tumors while preserving vital structures through controlled application of pul…
Irreversible
Kim · Biomedicines
2025Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground/Objectives : Traditional thermal ablation for pancreatic cancer is limited by collateral injury, often leading to complications such as pancreatitis. Irreversible electroporation …
Irreversible
Rugivarodom · VideoGIE
2025Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationElectroporation (EP) is a novel, highly selective, nonthermal modality for tissue ablation.1 Reversible EP occurs when an electrical field is applied to the target cell creating transmembran…
Irreversible
Wu et al · Adv Sci (Weinh)
2025Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathMinimally invasive irreversible electroporation ablation shows promise for pancreatic cancer (PCa), but the high recurrence and metastasis rates pose a therapeutic challenge for loco-regiona…
Irreversible
Xu et al · Sci Adv
2025Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic ductal adenocarcinoma (PDAC) is a highly lethal malignancy with pronounced resistance to conventional therapies. Irreversible electroporation (IRE) is a promising therapy for PDAC…
Irreversible
Huang et al · Mol Pharm
2024Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic cancer is a deadly disease with a five-year overall survival rate of around 11%. Chemotherapy is a cornerstone in the treatment of this malignancy, but the intratumoral delivery o…
Irreversible
Imran · Front Immunol
2024Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic cancer is a significant cause of cancer-related mortality and often presents with limited treatment options. Pancreatic tumors are also notorious for their immunosuppressive micro…
Reversible
Stupan et al · Bioelectrochemistry
2023Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathElectrochemotherapy (ECT 1 ) is used for treatment of unresectable abdominal malignancies. This study aims to show that ECT of porcine portal vein anastomosis is safe and feasible in order t…
Irreversible
Liu · Nat Commun
2023Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe response rate of pancreatic cancer to chemotherapy or immunotherapy pancreatic cancer is low. Although minimally invasive irreversible electroporation (IRE) ablation is a promising optio…
Irreversible
Shankara · J Immunother Cancer
2023Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Pancreatic cancer (PC) has a poor prognosis, and most patients present with either locally advanced or distant metastatic disease. Irreversible electroporation (IRE) is a non-the…
Irreversible
Woeste · J Immunother Cancer
2023Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Pancreatic cancer (PC) is a challenging diagnosis that is yet to benefit from the advancements in immuno-oncologic treatments. Irreversible electroporation (IRE), a non-thermal m…
Irreversible
Yan et al · World J Gastrointest Oncol
2022Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a local non-thermal ablative technique which has been suggested as a potential cancer therapy. However, the specific anatomic characteristic…
Irreversible
Sun et al · Cancer Lett
2021Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationNanoKnife, a nonthermal ablation technique also termed irreversible electroporation (IRE), has been adopted in locally advanced pancreatic cancer (LAPC) treatment. However, reversible electr…
Irreversible
Yang et al · Oncoimmunology
2021Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic ductal adenocarcinoma (PDAC) is associated with highly immunosuppressive tumor microenvironment (TME) that can limit the efficacy of dendritic cell (DC) vaccine immunotherapy. Irr…
Reversible
Dežman et al · Pancreas
2020Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin AccumulationObjectives: The use of thermal ablative therapies in the pancreatic tumors is limited because of the risk of the vessel injury and potential pancreatitis or fistula formation. Electrochemoth…
Irreversible
Brock et al · Front Oncol
2020Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationNew methods of tumor ablation have shown exciting efficacy in pre-clinical models but often demonstrate limited success in the clinic. Due to a lack of quality or quantity in primary maligna…
Irreversible
He et al · Clin Transl Med
2020Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Immunogenic Cell Death (ICD)Background: Irreversible electroporation is shown to induce immune changes in pancreatic cancer while the histology evidences are still lacking. The aim of this study is to show the immune c…
Reversible
Fernandes et al · Cancers (Basel)
2019Animal StudyAnimal (In Vivo)Potentiation of Cytotoxic Drug Permeability, Apoptosis InductionPancreatic cancer represents a major challenge in oncology. Poor permeability of the pancreas and resistance to currently available therapies are impediments to improved patient survival. By…
Irreversible
Narayanan et al · Cancer Immunol Res
2019Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a nonthermal ablation technique that is used clinically in selected patients with locally advanced pancreatic cancer, but most patients develop recurren…
Irreversible
O’Brien et al · J Vasc Interv Radiol
2019Animal StudyAnimal (In Vivo)Apoptosis Induction, Reversible Membrane PermeabilisationPurpose: To investigate the feasibility of single-needle high-frequency irreversible electroporation (SN-HFIRE) to create reproducible tissue ablations in an in vivo pancreatic swine model. …
Irreversible
Zhao et al · Nat Commun
2019Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationImmunotherapy has only limited efficacy against pancreatic ductal adenocarcinoma (PDAC) due to the presence of an immunosuppressive tumor-associated stroma. Here, we demonstrate an effective…
Irreversible
Lee et al · Surg Endosc
2018Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Endoscopic irreversible electroporation (IRE) can be performed using a flexible, thin, needle-shaped electrode for an endoscopic ultrasound (EUS)-guided procedure. This study aim…
Irreversible
Shankara Narayanan et al · J Vis Exp
2018Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic cancer (PC), a disease which kills approximately 40,000 patients each year in the US, has successfully evaded several therapeutic approaches including the promising immunotherapeu…
Irreversible
Su et al · World J Gastrointest Oncol
2018Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Apoptosis InductionAim: To determine changes in the morphology and function of pancreatic cancer cells after irreversible electroporation (IRE) treatment, and to explore the clinical significance of IRE treatm…
Irreversible
Wang et al · Radiology
2018Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Apoptosis InductionPurpose To test the hypothesis that biomarkers of fluorine 18 ( 18 F) fluorodeoxyglucose (FDG) positron emission tomography (PET) can be used for the early detection of therapeutic response …
Irreversible
White et al · J Vasc Interv Radiol
2018Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To investigate the differences in immune responses between cryoablation and irreversible electroporation (IRE) in a preclinical mouse model. Material and methods: A mouse pancreatic…
Irreversible
Edelblute et al · Sci Rep
2017Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) as a non-thermal tumor ablation technology has been studied for the treatment of pancreatic carcinoma and has shown a significant survival benefit. We disc…
Irreversible
Shao et al · Ann Biomed Eng
2017Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) can be used to treat cancer by electrical pulses, with advantages over traditional thermal approaches. Here we assess for the first time the IRE response o…
Irreversible
Siddiqui et al · Surg Innov
2017Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a nonthermal ablation modality employed to induce in situ tissue-cell death. This study sought to evaluate the efficacy of a novel high-frequency IRE (H…
Irreversible
Bhutiani et al · J Surg Oncol
2016Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Irreversible electroporation (IRE) utilizes short, high-voltage pulses to irreversibly permeabilize the cell membrane, resulting in apoptotic cell death. In addition to the irr…
Irreversible
Scheffer et al · PLoS One
2016Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: Irreversible electroporation (IRE) uses short duration, high-voltage electrical pulses to induce cell death via nanoscale defects resulting from altered transmembrane potential. The…
Reversible
Girelli et al · Radiol Oncol
2015Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin AccumulationBackground: Pancreatic ductal adenocarcinoma (PDAC) is a lethal disease generally refractory to standard chemotherapeutic agents; therefore improvements in anticancer therapies are mandatory…
Irreversible
Fritz et al · Pancreas
2015Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: Use of thermal tumor ablation in the pancreatic parenchyma is limited because of the risk of pancreatitis, pancreatic fistula, or hemorrhage. This study aimed to evaluate the fea…
Irreversible
Philips et al · Mol Ther Methods Clin Dev
2015Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a promising cell membrane ablative modality for pancreatic cancer. There have been recent concerns regarding local recurrence and the potential use of I…
Irreversible
Dunki-Jacobs et al · Br J Surg
2014Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Thermal Effect and Joule HeatingBackground: Irreversible electroporation (IRE) is a new technique for tumour cell ablation that is reported to involve non-thermal-based energy using high voltage at short microsecond pulse …
Irreversible
Zhang et al · Nanomedicine (Lond)
2014Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationAim: NanoKnife(®) (Angiodynamics, Inc., NY, USA) or irreversible electroporation (IRE) is a newly available ablation technique to induce the formation of nanoscale pores within the cell memb…
Irreversible
Weiss et al · Curr Probl Cancer
2013Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathApproximately 43,000 new cases of pancreatic ductal adenocarcinoma (PDAC) are identified yearly in the United States. Surgical resection offers the only chance for cure with 5-year survival r…
Reversible
Nuccitelli et al · Int J Cancer
2012Animal StudyAnimal (In Vivo)Apoptosis Induction, Optimisation of Pulse ParametersWe have identified an effective nanoelectroablation therapy for treating pancreatic carcinoma in a murine xenograft model. This therapy initiates apoptosis in a nonthermal manner by applying…
Irreversible
José et al · Cancer Lett
2012Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic ductal adenocarcinoma (PDAC) therapies show limited success. Irreversible electroporation (IRE) is an innovative loco-regional therapy in which high-voltage pulses are applied to …
Irreversible
Bower et al · J Surg Oncol
2011Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: The use of thermal tumor ablative techniques in the pancreas is limited due to the risk of pancreatitis and damage to major vascular structures. Irreversible electroporation (IRE…
Irreversible
Charpentier et al · HPB (Oxford)
2010Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a novel, non-thermal method of tissue ablation using short pulses of high-voltage DC current to ablate tissue. Methods: Irreversible electro…
Irreversible
Jiang et al · J Control Release
2026In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPancreatic ductal adenocarcinoma (PDAC) remains one of the most treatment-refractory malignancies, largely due to its dense stromal architecture and limited intratumoral drug penetration. He…
Irreversible
Li et al · J Interv Med
2023In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationRecently, interventional ablation techniques have gained prominence in tumor treatment guidelines and complement traditional approaches, such as surgery, chemotherapy, and radiotherapy. Conv…
Reversible
Michel et al · Bioelectrochemistry
2022In Vitro StudyCell CultureIncreased Intracellular Cisplatin AccumulationCatechin is a bioflavonoid known for its anti-cancer properties. In the present study, we combined theoretical and experimental approaches to reveal the potential of catechin application in …
Reversible
Zhao et al · Front Oncol
2021In Vitro StudyCell CultureNanosecond Pulsed Electric Field (nsPEF), Apoptosis InductionNanosecond pulsed electric fields (nsPEFs) have emerged as a novel and effective strategy for the non-surgical and minimally invasive removal of tumors. However, the effects of nsPEFs treatm…
Irreversible
He et al · Oncoimmunology
2021In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is an effective method for treating pancreatic ductal adenocarcinoma (PDAC). It remains unclear whether IRE can induce a specific immune response by stimul…
Irreversible
Agnass et al · Sensors (Basel)
2020In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationElectric permeabilization of cell membranes is the main mechanism of irreversible electroporation (IRE), an ablation technique for treatment of unresectable cancers, but the pulses also indu…
Irreversible
Mercadal et al · Ann Biomed Eng
2020In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationHigh-frequency irreversible electroporation (H-FIRE) has emerged as an alternative to conventional irreversible electroporation (IRE) to overcome the issues associated with neuromuscular ele…
Reversible
Michel et al · Biomed Res Int
2018In Vitro StudyCell CultureIncreased Intracellular Cisplatin AccumulationDespite the rapid progression of cancer pharmacotherapy, the high drug resistance of pancreatic ductal adenocarcinoma (PDA) makes it one of the most lethal malignancies. Therefore, there are…
Reversible
Michel et al · Acta Biochim Pol
2018In Vitro StudyCell CultureIncreased Intracellular Cisplatin Accumulation, Mitochondrial Dysfunction and Oxidative StressUntil recently, green tea polyphenols were considered strong antioxidants. However, the latest reports have revealed that bioflavonoids can play a multiple role in anticancer therapy, includ…
Reversible
Nuccitelli et al · Biochem Biophys Res Commun
2013In Vitro StudyCell CultureMitochondrial Dysfunction and Oxidative Stress, Nanosecond Pulsed Electric Field (nsPEF)The cellular response to 100 ns pulsed electric fields (nsPEF) exposure includes the formation of transient nanopores in the plasma membrane and organelle membranes, an immediate increase in…
Irreversible
Geboers et al · J Med Imaging Radiat Oncol
2023In Silico / ModellingComputational ModelReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathVisibility of the tumour and its surroundings during the ablative procedure is crucial for optimal treatment planning, needle placement, ablation zone coverage and postprocedural control. Th…
Irreversible
Martin et al · –
2026PreprintIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground Emerging evidence suggests irreversible electroporation (IRE) with standard-of-care (SOC) chemotherapy may improve survival in patients with Stage 3 pancreatic ductal adenocarcino…
Irreversible
Kwon et al · Journal of Vascular and Interventional Radiology
2019Conference AbstractIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Locally advanced pancreatic cancer (LAPC) is one of the most aggressive malignancies. Irreversible electroporation (IRE) is a novel technique that uses a non-thermal ablation to …
Irreversible
Amin et al · Journal of Vascular and Interventional Radiology
2018Conference AbstractIrreversible Pore Formation and Cell Death, Necrosis and NecroptosisNo. 184 Using FDG PET/CT to predict response to IRE in nonresectable pancreatic cancer: a retrospective analysis of 50 patients Purpose: To assess the ability of FDG PET/CT to predict outcom…
Irreversible
Liu et al · Cancer Biol Med
2026Editorial / LetterReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPancreatic ductal adenocarcinoma (PDAC) is among the deadliest solid tumors. Patients who develop PDAC with locally advanced pancreatic cancer (LAPC) or metastases have an especially poor pr…
Reversible
Coriat et al · J Clin Med
2022Editorial / LetterThe pancreas plays an important role in the human body with its two main endocrine and exocrine functions [...].
Irreversible
Granata et al · Front Oncol
2022Editorial / LetterIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationWe read with interest the article from Dr. Gyftopoulos and colleagues in Frontiers in Oncology (1) in which they assessed irreversible electroporation (IRE) as an interesting tool in the tre…
Irreversible
Liu et al · Hepatobiliary Pancreat Dis Int
2022Editorial / LetterHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Deathherapy alone as treatments for patients with locally advanced pancreatic cancer Shan-Shuo Liu a,b, Hai-Yu Wang a,b, Ying Sun a,b, Ya-Wen Zou a,b, Zhi-Gang Ren a,b, Xin-Hua Chen c, Zu-Jiang Y…
Reversible
Granata et al · Ann Surg Oncol
2020Editorial / LetterAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationWe read with interest the article from Dr. Bhutiani and colleagues in Annals of Surgical Oncology,1 which reports their assessment of irreversible electroporation (IRE) combined with chemoth…
Reversible
He · Ann Surg Oncol
2020Editorial / LetterHumanIncreased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin AccumulationAnn Surg Oncol (2020) 27:4086–4087 https://doi.org/10.1245/s10434-020-08791-1 EDITORIAL – PANCREATIC TUMORS Electrochemotherapy for Pancreatic Cancer: An Emerging Treatment Modality? Jin He,…
Irreversible
Tsilimigras et al · Ann Surg Oncol
2019Editorial / LetterHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathAnn Surg Oncol (2019) 26:S610–S611 https://doi.org/10.1245/s10434-019-07436-2 ASO AUTHOR REFLECTIONS ASO Author Reflections: Irreversible Electroporation for Locally Advanced Pancreatic Canc…
Irreversible
D’Onofrio et al · World J Gastroenterol
2016Editorial / LetterHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPancreatic ductal adenocarcinoma is a highly aggressive tumor with an overall 5-year survival rate of less than 5%. Prognosis and treatment depend on whether the tumor is resectable or not, …
Irreversible
Figini · Am J Cancer Res
2025Correction / ErratumAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death[This corrects the article on p. 1615 in vol. 8, PMID: 30210929.].
Irreversible
Rai et al · BMJ Open
2022ProtocolHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Approximately 30% of patients with pancreas cancer have unresectable locally advanced disease, which is currently treated with systemic chemotherapy. A new treatment option of ir…
Irreversible
Geboers et al · Cancers (Basel)
2021ProtocolAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Immune Checkpoint Inhibitor CombinationIrreversible electroporation (IRE) is a novel image-guided tumor ablation technique with the ability to generate a window for the establishment of systemic antitumor immunity. IRE transientl…
Irreversible
Coelen et al · BMJ Open
2017ProtocolHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: The majority of patients with perihilar cholangiocarcinoma (PHC) has locally advanced disease or distant lymph node metastases on presentation or exploratory laparotomy, which …

Limitations

The counts on this page are bounded by the scope of the source PDF archive and are not a systematic review of the area's literature. Study type and mechanism labels are derived automatically; for critical decisions consult the full texts of the publications listed. The evidence level reflects the number of publications, not their methodological quality.